Request edit access
ESA Redu training with Lego Mindstorms on Mars: subscribe
By filling in this form, you subscribe for a 2-days training at ESA Redu. more information: http://www.esero.be/_WP/?page_id=860 (NL) and http://www.esero.be/FR/?p=373 (FR)
Your first name
Your answer
Your family name
Your answer
Your teaching language
Your school (name and city)
Your answer
Number of your ID card (needed because of safety rules to enter the ESA station, please don't give your Belgian register number)
Your answer
Your students age/grade
Your specialisation / teaching topic
Your answer
Your phone number
Your answer
Your email
Your answer
Choose 1 session you want to join (for Be-Lux trainings, a max of 12 BE teahers are allowed, for European trainings, a max of 2 BE teachers are allowed).
ESA offers 2 nights for free in a hotel in rooms for 2 persons (men and women separated). Do you wish to use this offer?
Do you have any extra additional remark?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms